Created on: 23/04/13 1115

Created on: 23/04/13 1115 Patient: American Hospital Dubai Page 1 Specimen: 13-HP001071 Received: 22/04/13 - 1326 Spec Type: HISTOPATHO CLINICAL DETAILS Bilateral interstitial infiltrates, on steroids/antibiotics. ARDS x2. SPECIMEN A: Lung, left upper lobe, wedge biopsy. B: Lung, left lower lobe, wedge biopsy. GROSS DESCRIPTION A: Received is a specimen fixed in formalin with patient name and labeled as "1 upper lobe". It consists of a wedge biopsy of lung measuring 5 x 3 x 0.8 cm with stapled line measuring 6 cm in length. The pleural surface is glistening, tan and rubbery. Representative sections submitted in five cassettes. B: Received is a specimen fixed in formalin with patient name and labeled as "2 lower lobe". It consists of a yellow-tan wedge of lung measuring 4 x 3 x 1.5 cm with staple and focal nodule. Representative sections submitted in five cassettes. EFTA00585613 Gross by Dr. Kadria Sayed. Dictated by: JEANNIE CHAVEZ Date :23/04/13 - 1105 MICROSCOPY DESCRIPTION Benign lung tissue with acute areas of pneumonia and dilated air spaces with inspissated material. There are some prominent vessels. There is new fresh fibroblastic proliferation, and other areas of honeycombing with old fibrosis predominantly interstitial. There is some nodularity. Focally, the fibrosis may arise in subpleural region. Bronchioles overall are within normal limits. No tumor or granuloma. Focal giant cells seen in part A, possibly foreign body reaction. DIAGNOSIS A, B: Portion of lung, wedge biopsy: * Acute inflammation with organizing pneumonia, possibly infectious etiology; recommend correlation with culture. * Interstitial fibrosis with areas of honeycomb lung, nonspecific vs. UIP. Case reviewed with Dr. Kadria Sayed, Dr. Mazen and Dr, Miller. Dictated by: DR. AARON HAN Date: 23/04/13 - 1104 Signed : DR. AARON HAN 23/04/13 EFTA00585614